Healthcare Provider Details

I. General information

NPI: 1609606268
Provider Name (Legal Business Name): RACHEL ELIZABETH BETHUNE HOWARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

IV. Provider business mailing address

775 BEACON ST APT 710
BOSTON MA
02215-3215
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-6162
  • Fax:
Mailing address:
  • Phone: 857-772-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number3015900
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: